[1]徐永太),潘静静)#,赵景志),等.河南省某地区农村居民肥胖指标与血压及高血压的关系[J].郑州大学学报(医学版),2012,(01):91.
 XU Yongtai,PAN Jingjing,ZHAO Jingzhi,et al.Relationship between obesity indices and blood pressure and hypertension among rural residents in Henan province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(01):91.
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河南省某地区农村居民肥胖指标与血压及高血压的关系
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年01期
页码:
91
栏目:
论著
出版日期:
2012-01-20

文章信息/Info

Title:
Relationship between obesity indices and blood pressure and hypertension among rural residents in Henan province
作者:
徐永太1)潘静静2)#赵景志3)冯天平3)尹雷3)尤爱国2)韩冰2)
1)新野县人民医院内科 新野 475300 2)河南省疾病预防控制中心传染病预防控制所 郑州 450016 3)河南省军区医院保健科 郑州 450000
Author(s):
XU Yongtai1)PAN Jingjing2)ZHAO Jingzhi3)FENG Tianping3)YIN Lei3)YOU Aiguo2)HAN Bing2)
1)Department of Internal Medicine,Xinye People’s Hospital, Xinye 4753002)Institute for Infectious Disease Control and Prevention,Henan Provincial Center for Disease Control and Prevention,Zhengzhou 4500163)Department of Health Care,Military Hospital in Henan Province, Zhengzhou 450000
关键词:
肥胖血压脉压高血压体质指数腰围腰身比
Keywords:
obesityblood pressure pulse pressure hypertensionBMIWCWhtR
分类号:
R181.2
摘要:
目的:了解河南省农村居民不同肥胖指标与血压及高血压的关系。方法:2007年7月至2008年7月,采用随机整群抽样的方法抽取河南省某地区68个自然村18岁以上的常住居民共计20 152人,进行肥胖和血压水平的横断面调查。结果:随着WHtR和BMI的增加,收缩压、舒张压、脉压和高血压患病率呈升高趋势;中心性肥胖者以上指标高于正常者(P<0.001)。BMI、WC和WHtR与收缩压、舒张压和脉压呈正相关关系(P均<0.001)。相对于BMI<18.5 kg•m-2组,18.5 kg•m-2~、24.0 kg•m-2~和≥28.0 kg•m-2组高血压患病的OR分别为1.6(95%CI:1.2~2.0)、2.2(95%CI:1.7~2.9)和3.6(95%CI:2.7~4.8);相对于正常者,中心性肥胖的OR为1.3(95%CI:1.1~1.4);相对于WHtR<0.47组,0.47~、0.52~和≥0.57组的OR分别为1.4(95%CI:1.3~1.6)、1.6(95%CI:1.3~1.8)和2.0(95%CI:1.7~2.4),P均<0.001。结论:河南省某地区农村居民肥胖指标与血压、脉压及高血压患病率之间存在密切联系,应控制全身性肥胖和中心性肥胖,从而防治高血压。
Abstract:
Aim:To investigate the relationship between different obesity indices and blood pressure and hypertension among rural residents in Henan province.Methods:Data of 20 152 participants aged ≥18 years in a rural district of Henan in 2007 to 2008 were collected and analyzed. Results:The systolic pressure(SBP), diastolic pressure(DBP), pulse pressure(PP) and the prevalence of hypertension increased along with BMI and WHtR,and the above parameters in people with central obesity were higher than the normal people(P<0.001).All the indices were positively correlated with SBP, DBP and PP(P<0.001).Compared with the BMI<18.5 kg•m-2 group, the odds ratios of 18.5 kg•m-2~,24.0 kg•m-2~,and ≥28.0 kg•m-2 groups for hypertension were 1.6(95%CI:1.2~2.0),2.2(95%CI:1.7~2.9),and 3.6(95%CI:2.7~4.8).Compared with the nonobesity group, the odds ratios of central obesity for hypertension was 1.3(95%CI:1.1~1.4). Compared with the WHtR<0.47 group, the odds ratios of 0.47~, 0.52~ and ≥0.57 groups for hypertension were 1.4(95%CI:1.3~1.6),1.6(95%CI:1.3~1.8),and 2.0(95%CI:1.7~2.4),P<0.001.Conclusion:The obesity indices are positively correlated with blood pressure,PP,and the prevalence of hypertension among rural residents in Henan province; general obesity and central obesity should be controlled in order to prevent and treat hypertension.

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备注/Memo

备注/Memo:
doi:10.3969/j.issn.16716825.2012.01.029 #通讯作者,女,1984年11月生,硕士,研究方向:传染病流行病学,Email: jingjingpan2009@163.com
更新日期/Last Update: 1900-01-01